Kabaria V, Sofair E, Kubal K
Department of Anesthesiology, New York Medical College, Valhalla 10595.
Middle East J Anaesthesiol. 1994 Feb;12(4):417-28.
Pulmonary atelectasis is a known complication of urinary tract surgery performed in the lateral decubitus position. In 1946 Faulconer reported 8 cases of atelectasis associated with the use of the lateral decubitus position and elevated kidney rest. Several papers have indicated an influence of anesthesia and muscle relaxation as well as position in the development of atelectasis. We present a case of right upper lobe (RUL) atelectasis following left radical nephrectomy under general anesthesia in the right lateral decubitus position, successfully treated with saline lavage and bronchoscopic suction.
肺不张是侧卧位进行泌尿道手术时已知的并发症。1946年，福尔科纳报告了8例与侧卧位及抬高肾托使用相关的肺不张病例。几篇论文指出麻醉、肌肉松弛以及体位对肺不张的发生发展有影响。我们报告一例在全身麻醉下右侧卧位行左根治性肾切除术后发生的右上叶肺不张病例，该病例经盐水灌洗和支气管镜吸引成功治愈。
